UNIVERSITY PREPARATION PROGRAMME 2021 REGISTRATION Please complete this form and make a payment to register your child for the 2021 University Preparation Programme. We will then be in touch with final enrolment details. PARENT DETAILS Parent's Name(*) Please let us know your name. Parent's Email(*) Please let us know your email address. Parent's Telephone(*) Invalid Input STUDENT DETAILS Student's Name(*) Please let us know your name. Student's Email(*) Please let us know your email address. School's Name(*) Invalid Input School Year of Applicant -Upper Sixth (K13)Lower Sixth (K12)Year 11Year 10 Invalid Input Country(*) AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Antarctic TerritoryBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCanton and Enderbury IslandsCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos [Keeling] IslandsColombiaComorosCongo - BrazzavilleCongo - KinshasaCook IslandsCosta RicaCroatiaCubaCyprusCzech RepublicCôte d’IvoireDenmarkDjiboutiDominicaDominican RepublicDronning Maud LandEast GermanyEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesFrench Southern and Antarctic TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong Kong SAR ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacau SAR ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMetropolitan FranceMexicoMicronesiaMidway IslandsMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmar [Burma]NamibiaNauruNepalNetherlandsNetherlands AntillesNeutral ZoneNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth VietnamNorthern Mariana IslandsNorwayOmanPacific Islands Trust TerritoryPakistanPalauPalestinian TerritoriesPanamaPanama Canal ZonePapua New GuineaParaguayPeople's Democratic Republic of YemenPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaSão Tomé and PríncipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Minor Outlying IslandsU.S. Miscellaneous Pacific IslandsU.S. Virgin IslandsUgandaUkraineUnion of Soviet Socialist RepublicsUnited Arab EmiratesUnited KingdomUnited StatesUnknown or Invalid RegionUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWake IslandWallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Invalid Input Your Time Zone (GMT -12:00) Eniwetok, Kwajalein(GMT -11:00) Midway Island, Samoa(GMT -10:00) Hawaii(GMT -9:00) Alaska(GMT -8:00) Pacific Time (US & Canada)(GMT -7:00) Mountain Time (US & Canada)(GMT -6:00) Central Time (US & Canada), Mexico City(GMT -5:00) Eastern Time (US & Canada), Bogota, Lima(GMT -4:00) Atlantic Time (Canada), Caracas, La Paz(GMT -3:30) Newfoundland(GMT -3:00) Brazil, Buenos Aires, Georgetown(GMT -2:00) Mid-Atlantic(GMT -1:00 hour) Azores, Cape Verde Islands(GMT) Western Europe Time, London, Lisbon, Casablanca (GMT +1:00 hour) Brussels, Copenhagen, Madrid, Paris(GMT +2:00) Kaliningrad, South Africa(GMT +3:00) Baghdad, Riyadh, Moscow, St. Petersburg(GMT +3:30) Tehran(GMT +4:00) Abu Dhabi, Muscat, Baku, Tbilisi(GMT +4:30) Kabul(GMT +5:00) Ekaterinburg, Islamabad, Karachi, Tashkent(GMT +5:30) Bombay, Calcutta, Madras, New Delhi(GMT +5:45) Kathmandu(GMT +6:00) Almaty, Dhaka, Colombo(GMT +7:00) Bangkok, Hanoi, Jakarta(GMT +8:00) Beijing, Perth, Singapore, Hong Kong(GMT +9:00) Tokyo, Seoul, Osaka, Sapporo, Yakutsk(GMT +9:30) Adelaide, Darwin(GMT +10:00) Eastern Australia, Guam, Vladivostok(GMT +11:00) Magadan, Solomon Islands, New Caledonia(GMT +12:00) Auckland, Wellington, Fiji, Kamchatka Invalid Input UNIVERSITY CHOICES What are the applicant's current first-choice university & degree subject? University OxfordCambridgeUCLImperialKings'LSEother Invalid Input Other (please give details): Invalid Input Degree Subject Invalid Input Please use this box to tell us more about your university and degree subject choices (Max 250 words): Invalid Input Let us know if you have any specific requirements or questions: Invalid Input Payment(*) 17% discount|Pay in advance |17% discount - 1,200.00 GBP1 month's deposit|Pay monthly (10 payments)|1 month's deposit - 145.00 GBP Invalid Input Stripe (Credit, Debit Cards) Total 0.00 GBP
